Hospital Claims Specialist: Efficient Resolution & Eligibility
1199seiuNew York, NY
Hospital Claims Specialist: Efficient Resolution & Eligibility
1199seiuNew York, NY
today
Occupations
Claims Adjusters, Examiners, and InvestigatorsInsurance Claims and Policy Processing ClerksHealth Information Technologists and Medical RegistrarsIndustries
General Medical and Surgical HospitalsSpecialty (except Psychiatric and Substance Abuse) HospitalsPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAbout the role
1199SEIU is seeking a healthcare claims processor to review hospital claims, determine actions to resolve pended items, and process claims using the QNXT system. You will validate data, ensure eligibility and benefits coverage, apply pre-authorization rules and contractual policies, and respond to provider inquiries while maintaining accuracy and timeliness in a fast-paced environment.
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JOB OVERVIEW
Experience level
Mid
Location
New York, NY
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
General Medical and Surgical Hospitals
Posted
today
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